I'm on Topamax, 425mg 2 times a day, just updosed to 425 3 weeks ago, was on 400mg 2 times a day. To me it seems like the med only takes about 3 weeks to get used to when updosing, and the worst bits are the fact that I literally have to force myself to eat (I have seriously gone a day and a half and forgotten to eat before)- so remember to watch his eating habits! They'll change pretty drastically... and the foggyness that you get at the higher doses (at least it seems this way to me, I do have short term memory loss though- so it could be that it's gotten worse? but some days I feel like an Alzeimers patient haha) so, if he's in school, maybe give him some leniency on grades for a while and get a tutor? but overall, if it's the drug that works, I do recommend it, because, like any drug...they all have crappy side effects, you just have to pick which ones you're going to live with and which ones you can't =P Oh...and recently another thing that bugs me about it- just because it's winter though- I'm like a permanent ac- my body seems to run cooler than everybody else, so I bundle up really well, and don't stay out in the cold too long (my Dr told me that it's a side effect of the Topamax that I freeze my a** off everyday- but hey- in the summer, it's nice!)
good points : less seizures... less frequent headaches... less meds overall needed =)